Provider Demographics
NPI:1114475084
Name:NEW LIFE BIRTH SERVICES, LLC
Entity Type:Organization
Organization Name:NEW LIFE BIRTH SERVICES, LLC
Other - Org Name:NEW LIFE BIRTH SERVICES & PRENATAL YOGA, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:505-375-4433
Mailing Address - Street 1:320 GOLD AVE SW, STE 620 PMB 1305
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3210
Mailing Address - Country:US
Mailing Address - Phone:505-375-4433
Mailing Address - Fax:
Practice Address - Street 1:5706 BALSA COURT NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111
Practice Address - Country:US
Practice Address - Phone:505-375-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NML-55655OtherIBLCE